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目的:通过对慢性阻塞性肺疾病患者开展社区管理,以探讨如何提高慢性阻塞性肺疾病患者健康知识得分及改善慢性阻塞性肺疾病患者的治疗情况。方法:随机选取杭州市上城区南星街道社区卫生服务中心辖区内的慢性阻塞性肺疾病患者50例为研究对象,对其开展慢性阻塞性肺疾病的社区管理和干预,对开展社区管理前后,患者的健康知识得分情况、正确服药数、正确进行呼吸功能锻炼数及控烟戒烟数进行比较,对开展社区管理前后各18个月患者的慢性阻塞性肺疾病急性发作次数及住院天数进行统计和比较。结果:开展社区管理前后,慢性阻塞性肺疾病患者健康知识得分<18分人数、18~24分人数、>24分人数以及总得分情况存在着显著差异,且差异有统计学意义(P<0.05);开展社区管理前后,慢性阻塞性肺疾病患者的正确服药数、正确进行呼吸功能锻炼数、控烟戒烟数、急性发作次数及住院天数存在着显著差异(P<0.05)。结论:社区全科医师针对慢性阻塞性肺疾病患者开展社区管理和干预,能够显著提高慢性阻塞性肺疾病患者健康知识得分,改善患者的治疗情况。
OBJECTIVE: To explore how to improve the health knowledge score of patients with COPD and improve the treatment of patients with chronic obstructive pulmonary disease through community management of patients with chronic obstructive pulmonary disease. Methods: Randomly selected 50 patients with chronic obstructive pulmonary disease in Nanxun Street Community Health Service Center, Shangcheng District, Hangzhou, as the research object, to carry out community management and intervention of chronic obstructive pulmonary disease. Before and after community management, patients Health knowledge scores, the number of correct medication, the number of respiratory functional exercises and the number of smoking cessation were compared. The number of acute exacerbations and hospital stay of patients with chronic obstructive pulmonary disease before and after community management were counted and compared. Results: Before and after community management, there were significant differences in health knowledge score <18 points, 18-24 points,> 24 points and total score of patients with chronic obstructive pulmonary disease, and the difference was statistically significant (P <0.05 ). Before and after community management, there was a significant difference (P <0.05) between the number of patients taking chronic obstructive pulmonary disease (COPD) correctly, the number of respiratory functional exercise correctly, the number of controlled smoking and smoking cessation, the number of acute exacerbations and hospital stay. Conclusion: Community GPs in communities with chronic obstructive pulmonary disease can significantly improve their health knowledge score and improve their treatment.